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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DERRICK DAVIS SR.

Active Sole Proprietor

DERRICK DAVIS SR. is a Family Nurse Practitioner healthcare provider located in BROWNSTOWN, Michigan. NPI 1245612621 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · BROWNSTOWN, MI

Registration Details

NPI Number
1245612621
Provider Type
Individual
Gender
Male
NPI Issued
Jun 23, 2015 (10.962680721336 yrs)
Last Updated
Jun 23, 2015
License
4704235173 (MI)
Sole Proprietor
Yes

Practice Information

Address
18286 BOXELDER DR
BROWNSTOWN, MI, 481749261
Browse MI providers · Browse ZIP 48174
Phone
7342291514
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in BROWNSTOWN, MI

Name Credential NPI
LUBNA YASMIN HAROON FNP-BC 1740898147
MRS. ASHLEY C GILES 1427630037
MRS. JENIFER DIONNE FNP-C 1407636418
JASMINE NUESCA LINA FNP 1871357798
MRS. TIFFANY MILLER FNP-C 1235938820
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.